Healthcare Provider Details

I. General information

NPI: 1760958052
Provider Name (Legal Business Name): CDIN EDUCATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6276 SPRING MOUNTAIN RD STE 110
LAS VEGAS NV
89146-8869
US

IV. Provider business mailing address

6276 SPRING MOUNTAIN RD STE 110
LAS VEGAS NV
89146-8869
US

V. Phone/Fax

Practice location:
  • Phone: 310-422-9131
  • Fax:
Mailing address:
  • Phone: 310-422-9131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN K RYAN
Title or Position: MANAGING DIRECTOR
Credential: MD
Phone: 310-422-9131